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NPI Code Detail

MEDICARE: NATHAN MICHEL

MEDICARE: NATHAN MICHEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist118318TX

General Provider Information

NPI Number : 1649750373
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN MICHEL
Provider Business Mailing Address
First Line : 5604 SOUTHWEST PKWY APT 1212
Second Line :
City : AUSTIN
State : TX
Zip : 78735-6249
Country : US
Telephone Number : 225-936-8788
Fax Number :
Provider Business Practice Location Address
First Line : 4501 DUDMAR DR
Second Line :
City : AUSTIN
State : TX
Zip : 78735-6913
Country : US
Telephone Number : 512-892-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ NATHAN MICHEL ” Practice Location

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